A fatal waterborne outbreak of pesticide poisoning caused by damaged pipelines, sindhikela, bolangir, orissa, India, 2008
- PMID: 20130775
- PMCID: PMC2809339
- DOI: 10.1155/2009/692496
A fatal waterborne outbreak of pesticide poisoning caused by damaged pipelines, sindhikela, bolangir, orissa, India, 2008
Abstract
Introduction. We investigated a cluster of pesticide poisoning in Orissa. Methods. We searched the village for cases of vomiting and sweating on 2 February 2008. We described the outbreak by time, place, and person. We compared cases with controls. Results. We identified 65 cases (two deaths; attack rate: 12 per 1000; case fatality: 3%). The epidemic curve suggested a point source outbreak, and cases clustered close to a roadside eatery. Consumption of water from a specific source (odds ratio [OR]: 35, confidence interval [CI]: 13-93) and eating in the eatery (OR: 2.3, CI: 1.1-4.7) was associated with illness. On 31 January 2008, villagers had used pesticides to kill street dogs and had discarded leftovers in the drains. Damaged pipelines located beneath and supplying water may have aspirated the pesticide during the nocturnal negative pressure phase and rinsed it off the next morning in the water supply. Conclusions. Innapropriate use of pesticides contaminated the water supply and caused this outbreak. Education programs and regulations need to be combined to ensure a safer use of pesticides in India.
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References
-
- Jeyarathnam J. Acute pesticide poisoning: a major global health problem. World Health Statistics Quarterly. 1990;43(3):139–144. - PubMed
-
- Litchfield MH. Estimates of acute pesticide poisoning in agricultural workers in less developed countries. Toxicological Reviews. 2005;24(4):271–278. - PubMed
-
- Balali-Mood M, Shariat M. Treatment of organophosphate poisoning. Experience of nerve agents and acute pesticide poisoning on the effects of oximes. Journal of Physiology Paris. 1998;92(5-6):375–378. - PubMed
-
- Saadeh AM, Al-Ali MK, Farsakh NA, Ghani MA. Clinical and sociodemographic features of acute carbamate and organophosphate poisoning: a study of 70 adult patients in North Jordan. Journal of Toxicology. 1996;34(1):45–51. - PubMed
-
- WHO/UNEP Working Group. Public Health Impact of Pesticides Used in Agriculture. Geneva, Switzerland: World Health Organization; 1990.
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